Abstract：
Despite the importance of communication, radiology departments often depend on communication tools that were not created for the unique needs of imaging workflows, leading to frequent radiologist interruptions. The objective of this study was test the hypothesis that a novel asynchronous communication tool for the imaging workflow (RadConnect) reduces the daily average number of synchronous (in-person, telephone) communication requests for radiologists. We conducted a before-after study. Before adoption of RadConnect, technologists used three conventional communication methods to consult radiologists (in-person, telephone, general-purpose enterprise chat (GPEC)). After adoption, participants used RadConnect as a fourth method. Technologists manually recorded every radiologist consult request related to neuro and thorax CT scans in the 40 days before and 40 days after RadConnect adoption. Telephone traffic volume to section beepers was obtained from the hospital telephone system for the same period. The value and usability experiences were collected through an electronic survey and structured interviews. RadConnect adoption resulted in 53% reduction of synchronous (in-person, telephone) consult requests: from 6.1 ± 4.2 per day to 2.9 ± 2.9 (P < 0.001). There was 77% decrease (P < 0.001) in telephone volume to the neuro and thorax beepers, while no significant volume change was noted to the abdomen beeper (control group). Survey responses (46% response rate) and interviews confirmed the positive impact of RadConnect on interruptions. RadConnect significantly reduced radiologists\' telephone interruptions. Study participants valued the role-based interaction and prioritized worklist overview in the survey and interviews. Findings from this study will contribute to a more focused work environment.
摘要：
尽管沟通的重要性,放射科通常依赖于不是为成像工作流程的独特需求而创建的通信工具，导致放射科医师频繁中断.这项研究的目的是检验以下假设：用于成像工作流程的新型异步通信工具（RadConnect）减少了每日平均同步次数（当面，电话)给放射科医生的通信请求。我们进行了一项前后研究。在采用RadConnect之前，技术人员使用三种常规通信方法咨询放射科医生(亲自，电话,通用企业聊天(GPEC))。收养后,参与者使用RadConnect作为第四种方法。技术人员在RadConnect采用前40天和后40天内手动记录与神经和胸部CT扫描相关的每个放射科医生咨询请求。在同一时期，从医院电话系统获得了部分蜂鸣器的电话流量。通过电子调查和结构化访谈收集了价值和可用性经验。RadConnect的采用导致同步减少53%(亲自，电话）咨询要求：从每天6.1±4.2提高到2.9±2.9（P<0.001）。神经和胸腔蜂鸣器的电话音量下降了77％（P<0.001），而腹部蜂鸣器（对照组）没有明显的体积变化。调查答复（46％的答复率）和访谈证实了RadConnect对中断的积极影响。RadConnect大大减少了放射科医生的电话中断。研究参与者在调查和访谈中重视基于角色的互动和优先工作列表概述。这项研究的结果将有助于一个更有针对性的工作环境。
